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Although this form of thiamine deficiency, which we call gastrointestinal beriberi, is initially limited to the gastrointestinal system, it mostly progresses to systemic thiamine deficiency, often triggered by stresses of different etiologies

The intensity varies by individual, not by drug

All patients in the study were identified as having either type T2DM or obesity, with the exception of one patient who had been diagnosed with prediabetes

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Mirmiran P, Houshialsadat Z, Gaeini Z, Bahadoran Z, Azizi F

Contraindications to Pepto-Bismol that Wegovy users should be aware of include: Salicylate hypersensitivity (including aspirin allergy) Under 16 years of age (risk of Reye's syndrome) Bleeding disorders Severe renal impairment Pregnancy and breastfeeding Important interactions include: Anticoagulants (especially warfarin) Other salicylates and NSAIDs Methotrexate Some antibiotics (tetracyclines, quinolones) reduced absorption Recommended approach : Use Pepto-Bismol only for mild, self-limiting symptoms during the initial adjustment period